Person who experienced the adverse event (patient)
| Event ID | CASEID | CASEVERSION | I F COD | EVENT DT | MFR DT | INIT FDA DT | FDA DT | REPT COD | AUTH NUM | MFR NUM | MFR SNDR | LIT REF | AGE | AGE COD | AGE GRP | GNDR COD | E SUB | WT | WT COD | REPT DT | TO MFR | OCCP COD | REPORTER COUNTRY | OCCR COUNTRY |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111753243 | 11175324 | 3 | F | 20130824 | 20160826 | 20150609 | 20160831 | EXP | US-ELI_LILLY_AND_COMPANY-US201505010499 | ELI LILLY AND CO | 45.26 | YR | M | Y | 108.00000 | KG | 20160831 | CN | US | US |
Drug(s) used by person
| Event ID | CASEID | DRUG SEQ | ROLE COD | DRUGNAME | PROD AI | VAL VBM | ROUTE | DOSE VBM | CUM DOSE CHR | CUM DOSE UNIT | DECHAL | RECHAL | LOT NUM | EXP DT | NDA NUM | DOSE AMT | DOSE UNIT | DOSE FORM | DOSE FREQ |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 111753243 | 11175324 | 1 | PS | AXIRON | TESTOSTERONE | 1 | Transdermal | UNK, UNKNOWN | Y | U | 22504 | ORAL LIQUID | QD | ||||||
| 111753243 | 11175324 | 2 | SS | TESTOSTERONE. | TESTOSTERONE | 1 | UNK, UNKNOWN | U | U | 0 | |||||||||
| 111753243 | 11175324 | 3 | SS | TESTOSTERONE. | TESTOSTERONE | 1 | UNK, UNKNOWN | U | U | 0 | |||||||||
| 111753243 | 11175324 | 4 | SS | TESTOSTERONE. | TESTOSTERONE | 1 | UNK, UNKNOWN | U | U | 0 | |||||||||
| 111753243 | 11175324 | 5 | SS | TESTOSTERONE. | TESTOSTERONE | 1 | UNK, UNKNOWN | U | U | 0 | |||||||||
| 111753243 | 11175324 | 6 | C | ASPIRIN /00002701/ | ASPIRIN | 1 | Unknown | UNK, UNKNOWN | 0 | 81 | MG | ||||||||
| 111753243 | 11175324 | 7 | C | CARVEDILOL. | CARVEDILOL | 1 | Unknown | 3.125 MG, UNKNOWN | 0 | 3.125 | MG | ||||||||
| 111753243 | 11175324 | 8 | C | LISINOPRIL. | LISINOPRIL | 1 | Unknown | 5 MG, UNKNOWN | 0 | 5 | MG | ||||||||
| 111753243 | 11175324 | 9 | C | LISINOPRIL. | LISINOPRIL | 1 | 0 | ||||||||||||
| 111753243 | 11175324 | 10 | C | GLYBURIDE. | GLYBURIDE | 1 | Unknown | 5 MG, UNKNOWN | U | 0 | 5 | MG | |||||||
| 111753243 | 11175324 | 11 | C | SIMVASTATIN. | SIMVASTATIN | 1 | Unknown | 20 MG, UNKNOWN | 0 | 20 | MG | ||||||||
| 111753243 | 11175324 | 12 | C | METFORMIN | METFORMIN HYDROCHLORIDE | 1 | Unknown | 1000 MG, UNKNOWN | 0 | 1000 | MG | ||||||||
| 111753243 | 11175324 | 13 | C | BENICAR | OLMESARTAN MEDOXOMIL | 1 | Unknown | 40 MG, UNKNOWN | U | 0 | 40 | MG |
Indications of drugs used
| Event ID | CASEID | INDI DRUG SEQ | INDI PT |
|---|---|---|---|
| 111753243 | 11175324 | 1 | Androgen replacement therapy |
| 111753243 | 11175324 | 2 | Androgen replacement therapy |
| 111753243 | 11175324 | 6 | Product used for unknown indication |
| 111753243 | 11175324 | 7 | Cardiac disorder |
| 111753243 | 11175324 | 8 | Cardiac disorder |
| 111753243 | 11175324 | 9 | Blood pressure measurement |
| 111753243 | 11175324 | 10 | Diabetes mellitus |
| 111753243 | 11175324 | 11 | Blood cholesterol |
| 111753243 | 11175324 | 12 | Diabetes mellitus |
| 111753243 | 11175324 | 13 | Blood pressure measurement |
Outcome of event
| Event ID | CASEID | OUTC COD |
|---|---|---|
| 111753243 | 11175324 | LT |
| 111753243 | 11175324 | OT |
| 111753243 | 11175324 | HO |
Reactions reported
| Event ID | CASEID | DRUG REC ACT | PT |
|---|---|---|---|
| 111753243 | 11175324 | Acute myocardial infarction | |
| 111753243 | 11175324 | Anxiety | |
| 111753243 | 11175324 | Cardiac failure | |
| 111753243 | 11175324 | Depression | |
| 111753243 | 11175324 | Heart injury | |
| 111753243 | 11175324 | Nightmare |
Reporting Sources (this data is often not reported and may therefore be missing here)
| no results found |
Therapies reported
| Event ID | CASEID | DSG DRUG SEQ | START DT | END DT | DUR | DUR COD |
|---|---|---|---|---|---|---|
| 111753243 | 11175324 | 1 | 2012 | 20130824 | 0 | |
| 111753243 | 11175324 | 2 | 201305 | 0 | ||
| 111753243 | 11175324 | 3 | 201306 | 0 | ||
| 111753243 | 11175324 | 4 | 201307 | 0 | ||
| 111753243 | 11175324 | 5 | 201308 | 0 | ||
| 111753243 | 11175324 | 6 | 2007 | 0 | ||
| 111753243 | 11175324 | 7 | 201308 | 0 | ||
| 111753243 | 11175324 | 8 | 201308 | 0 | ||
| 111753243 | 11175324 | 10 | 2007 | 0 | ||
| 111753243 | 11175324 | 11 | 201308 | 0 | ||
| 111753243 | 11175324 | 12 | 201308 | 0 | ||
| 111753243 | 11175324 | 13 | 2007 | 2013 | 0 |